Maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care
Cássio de Almeida Lima1,2, Maria Fernanda Santos Figueiredo Brito3, Lucineia de Pinho3
1Universidade Estadual de Montes Claros, Departamento de Métodos e Técnicas Educacionais, Montes Claros, MG, Brazil.
to analyze maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care.
a cross-sectional, population-based, analytical epidemiological survey. A sample of 937 participants attended by Family Health Strategy teams was investigated. Maternal-fetal attachment (outcome), sociodemographic and clinical variables, social support, family functionality, depressive symptoms and perceived stress were assessed. Multivariate analysis was adopted using structural equation modeling.
maternal-fetal attachment had an average of 92.6 (SD=±15.3). The adjusted structural model showed that the following factors had a direct effect on the outcome: gestational weeks (β=0.29; p<0.001), household crowding (β=-0.07; p=0.027), depressive symptoms (β=-0.11; p=0.003), social support (β=0.08; p<0.001) and family functionality (β=0.19; p<0.001). Indirect effects of social support (β=-0.29; p<0.001) and family functionality (β=-0.20; p<0.001) were identified, mediated by depressive symptoms.
a set of interrelationships was identified between maternal-fetal attachment, gestational weeks, household crowding, depressive symptoms, social support and family functionality. It is suggested that the Family Health Strategy offer prenatal care anchored in integrality and humanization, which promotes biopsychosocial well-being during pregnancy and healthy maternal-fetal attachment.
Background:
(1) Maternal-fetal attachment should be assessed in Primary Health Care.
Background:
(2) Depressive symptoms were negatively related to maternal-fetal attachment.
Background:
(3) Social support and family functionality had a positive effect on attachment.
Background:
(4) Greater household crowding had a negative effect on the outcome.
Background:
(5) It is recommended to screen pregnant women with depression, poor social and family support.
to analyze maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care.
a cross-sectional, population-based, analytical epidemiological survey. A sample of 937 participants attended by Family Health Strategy teams was investigated. Maternal-fetal attachment (outcome), sociodemographic and clinical variables, social support, family functionality, depressive symptoms and perceived stress were assessed. Multivariate analysis was adopted using structural equation modeling.
maternal-fetal attachment had an average of 92.6 (SD=±15.3). The adjusted structural model showed that the following factors had a direct effect on the outcome: gestational weeks (β=0.29; p<0.001), household crowding (β=-0.07; p=0.027), depressive symptoms (β=-0.11; p=0.003), social support (β=0.08; p<0.001) and family functionality (β=0.19; p<0.001). Indirect effects of social support (β=-0.29; p<0.001) and family functionality (β=-0.20; p<0.001) were identified, mediated by depressive symptoms.
a set of interrelationships was identified between maternal-fetal attachment, gestational weeks, household crowding, depressive symptoms, social support and family functionality. It is suggested that the Family Health Strategy offer prenatal care anchored in integrality and humanization, which promotes biopsychosocial well-being during pregnancy and healthy maternal-fetal attachment.
Related Concept Videos
01:20Attachment
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
00:55Parental Care
03:34Theory of Romantic Attachment in Adulthood
01:21Dimensions of Health and Illness
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...